MR. DARRYLL W. BLACK PA-C
NPI 1679735138
Physician Assistant in Wright-patterson Afb, OH

NPI Status: Active since June 26, 2008

Contact Information

88 MDG
4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, OH
ZIP 45433
Phone: (937) 257-6569

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  • Individual
  • Male
  • Physician Assistant

About DARRYLL BLACK

This page provides the complete NPI Profile along with additional information for Darryll Black, a primary care provider established in Wright-patterson Afb, Ohio with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1679735138 assigned on June 2008. The practitioner's primary taxonomy code is 363A00000X with license number 10002023A (IN). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1679735138
Provider Name
MR. DARRYLL W. BLACK PA-C
Gender
Male
Entity Type
Individual
Location Address
88 MDG 4881 SUGAR MAPLE DR WRIGHT-PATTERSON AFB, OH 45433
Location Phone
(937) 257-6569
Mailing Address
88 MDG 4881 SUGAR MAPLE DR WRIGHT-PATTERSON AFB, OH 45433
Mailing Phone
(937) 257-6569
Is Sole Proprietor?
No
Enumeration Date
06-26-2008
Last Update Date
04-11-2018
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A primary care provider (PCP) like Darryll Black sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
10002023A
License State
IN
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

MA053346 (PA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0171202MEDICAID (05)OH 
OPRMEDICAID (05)IN 

Reviews for MR. DARRYLL W. BLACK PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679735138
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261491431016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 4 + 3 + 1 + 0 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1679735138 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215977921DR. DAVID CHRISTOPHER MILLER DO, MPH
Individual
Family Medicine88 MDG 4881 SUGAR MAPLE DRIVE
WRIGHT-PATTERSON AFB, OH 45433
(937) 257-3103
1821162587DR. TERRY LEE CORRELL D.O.
Individual
Psychiatry & Neurology (Psychiatry)88 MDG 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH 45433
(937) 938-2768
1063573384DR. CLAY MITCHELL BALDWIN D.O.
Individual
Preventive Medicine (Occupational Medicine)88 MDG 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH 45433
(937) 938-3280
1497931372 JACQUELYN M GRIFFIN MSW, LISW
Individual
Social Worker (Clinical)88 MDG 4881 SUGER MAPLE DR.
WRIGHT PATTERSON AFB, OH 45433
(937) 257-6639
1235126640DR. RUTH A ROA-NAVARRETE PSY.D., M.S.
Individual
Psychologist (Clinical)88 MDG 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH 45433
(937) 257-6877
1982831780MRS. KATHRYN MARIE BURTSON M.D.
Individual
Internal Medicine88 MDG 4881 SUGAR MAPLE DRIVE
WRIGHT-PATTERSON AFB, OH 45433
(937) 522-2778
1598092702DR. JOHN MICHAEL HATFIELD DO, DC, MPH, MOH
Individual
Preventive Medicine (Aerospace Medicine)88 MDG 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH 45433
(937) 938-3718
1952629057 KURIAN THOMAS MALIEL MD
Individual
Internal Medicine (Cardiovascular Disease)88 MDG 4881 SUGAR MAPLE DR.
WRIGHT PATTERSON AFB, OH 45433
(937) 257-1770
1891138160 BENJAMIN LOUIS DAVIES M.D.
Individual
Surgery88 MDG 4881 SUGAR MAPLE DR
WPAFB, OH 45433
(935) 257-9922
1417916487DR. GLENN DAVID BURNS MD
Individual
Emergency Medicine88 MDG 4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
(937) 257-8838
1245280817 GUY M NEWLAND M.D.
Individual
Preventive Medicine (Addiction Medicine)88 MDG 4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, OH 45433
(937) 938-2734
1144702341DR. BRYAN HERSCH FNP
Individual
Nurse Practitioner (Family)88 MDG 4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
(937) 257-6565
1760554091 ERIK V NOTT M.D.
Individual
Orthopaedic Surgery (Foot and Ankle Surgery)88 MDG 4881 SUGAR MAPLE DR
WPAFB, OH 45433
(937) 257-9517
1952746224 LISA MARIE PARSONS ACNP
Individual
Nurse Practitioner (Acute Care)88 MDG 4881 SUGAR MAPLE DRIVE
WRIGHT-PATTERSON AFB, OH 45433
(937) 257-4904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679735138, enumerated in the NPI registry as an "individual" on June 26, 2008

The provider is located at 88 Mdg 4881 Sugar Maple Dr Wright-patterson Afb, Oh 45433 and the phone number is (937) 257-6569

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 26, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.